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3�55
Request Number: 8407
Public Works Division
Service Request
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Problem Address: 280 Rice Creek Terr Reqeested By: Rod Trocke
Department: WATER Address: No address provided
ProblemlIssue: INSTALLAMRMEIER PhoaeNumber: H-763-571-6412
ScheduledDate: 2014-07-21 ScheduledTime: U9:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-07-10
ACTION TAKEN:
Old meter#9&578249(Jld reading: 137 00 Newmeter#44921121 ERT#35171 S 12
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Status: Completed Resldent Contacted T'"
Date Completed: 2014-07-21 Completed by: Ryan Johnson
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Request Number: 8407
Public Works Division
Service Request
Problem Atldress: 280 Rice Creek Terr Requested By: Rod Trocke
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: H-763-571-6412
Scheduled Date: 201407-21 Scheduled Time: 09:OQ:OU
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ACTION NEEDED:AMR instafl
Created by: Cheryl Pellegrin Date Created: 201407-10
ACTIQN TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: C mp e by:
7
,2�-j�
. - — City of Fridley
_ . . __. Water Department -- -.. _ .
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3556
�/We hereby authorize the C�ty of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and afl interior plumbing. (Per City code
40Z.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur
while doing this operation. This to include,6ut not limited to;valves,pipin,g,walis,floors or the curb
stop box and service line. i understand 1 am also required to obtaln a permit pNor to any work,if
necessary.
Flnal meter readin�(old meter) _ � � ( � ��
Name• Address• �� 'F'�� `-► � �'�Ir
Phone Number: Date: ��2��� ` ,
Signature:
Wftness Signature:
FRIDIEY GTY CODE
C R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4�4,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer(ine connecting the existing municipal system and any hous.e
or building fo�which the application is made,the owner or contractor shafl be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Cade. After such connection has been
made,the Water and Sewer Department shall be notifed. it shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable cannection.
402.06.REPAIRS AND MAINTENANCE TO CONNEC'T'ION
After the initiai co�nection has been made to the water service curb stop box or the sewer lead at the property
line or a water senrice ar sewer lead has been extended to the property iine for connect(on,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary far connectinn ofi the premises from the main to the premises. If the propetty owner requests
maintenance service or repairs be performed by the�ity,the property owner shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative`y'
policy. It shall be the responsibility of the appilcant,owner,occupant or user to perform standard maintenance of
' the sewer service line from tfie premises ta the main including debris clearing or root cutting and to maintain the
water service curb stop box for opera6ility and at such height as wlll ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)